| NPI | 1275383457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYLAN JERELL BOOKER Counselor 832-756-6251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-03-22 |